Research

Trends in Healthcare Payments Seventh Annual Report: 2016

The 2016 Trends in Healthcare Payments Annual Report identifies the healthcare payments industry shifts that are business drivers for payers and providers to make changes to address consumerism, improve cash flow, operate more efficiently and enhance data security. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative market data based on an analysis of three InstaMed-commissioned online surveys of healthcare providers, payers and consumers nationwide and conducted by LHK Partners.

Trends in Healthcare Payments Sixth Annual Report: 2015

The 2015 Trends in Healthcare Payments Annual Report identifies the healthcare payments industry shifts that are business drivers for payers and providers to make changes to address consumerism, improve cash flow, operate more efficiently and enhance data security. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative market data based on an analysis of three InstaMed-commissioned online surveys of healthcare providers, payers and consumers nationwide and conducted by LHK Partners.

InstaMed Security and Encryption in Healthcare Payments White Paper

Coalfire Systems Inc. (Coalfire), a respected Payment Card Industry (PCI) Payment Application – Qualified Security Assessor (PA-QSA) company, has released a white paper with InstaMed, confirming how InstaMed’s P2PE solution meets the rigorous controls defined in the PCI SSC Point-to-Point Encryption (P2PE) Standard version 2.0 for the protection of payment card data. Coalfire also offers its assessment of how InstaMed solutions reduce PCI scope for healthcare organizations under PCI DSS 3.X. As part of the white paper, Coalfire offers its validation of the security of InstaMed’s healthcare payment solutions for new use cases, including eCommerce Payments, NFC/EMV point of sale transactions, and mobile payments, such as Apple Pay.

New Expectations: The Payment Experience Consumers Want from U.S. Health Plans

A white paper commissioned by InstaMed and produced by Aite Group, examines the case for commercial health plans to offer members an online service to pay all their medical bills, and, when applicable, monthly insurance premiums. The white paper uses consumer survey data and consumer medical out of-pocket spending data to give health plans insights into consumers’ expectations for health plans’ member portals.

Trends in Healthcare Payments Fifth Annual Report: 2014

The 2014 Trends in Healthcare Payments Annual Report demonstrates the business drivers for payers and providers and the changes they are making to focus on the consumer, maintain cash flow, reduce the risk of a data breach and to operate efficiently. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative data obtained from healthcare providers, payers and patients nationwide.

Challenges and Opportunities for Payers in the Changing Healthcare Payments Landscape

Data on healthcare payments shows how drastically the healthcare payments landscape has shifted in recent years. Consumers have become decision-makers in healthcare who are sensitive to healthcare costs, and payers and providers are moving toward industry-standard, electronic transactions due to regulatory mandates and the need to reduce administrative costs. These changes present both challenges and opportunities to payers – to focus on the consumer and streamline processes to ultimately reduce costs. This white paper explores these challenges and opportunities, and discusses the risks, best practices and topics for consideration for payers as they evolve their processes, policies and offerings to accommodate for the changing industry.

Trends in Healthcare Payments Fourth Annual Report: 2013

The 2013 Trends in Healthcare Payments Annual Report demonstrates the business drivers for payers and providers and the changes they are making to operate efficiently, focus on the consumer and maintain cash flow. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative data obtained from healthcare providers, payers and patients nationwide.

Trends in Healthcare Payments Annual
Report: 2012

The 2012 Trends in Healthcare Payments Annual Report demonstrates the business drivers for payers and providers and the changes they are making to operate efficiently and maintain cash flow. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative data obtained from healthcare providers, payers and patients nationwide.

Trends in Healthcare Payments Annual
Report: 2011

The 2011 Trends in Healthcare Payments Annual Report demonstrates the business drivers for payers and providers and the changes they are making to operate efficiently and maintain cash flow. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative data obtained from healthcare providers, payers and patients nationwide.

Payer Solution Profile: Electronic Claims Reimbursement

InstaMed connects payers, providers and members with healthcare clearinghouse, eligibility, estimation and payment transactions on a single, integrated network. InstaMed enables payers to disburse payments at a lower cost with fewer incidents of fraud, providers to get paid more efficiently and members to experience a simple, convenient and secure way to pay.

The reform decade ushers in a new era of cost-containment mandates and challenges for U.S. healthcare payers. Currently, strong and relatively immediate cost-containment opportunities exist in healthcare payments automation. Among the key drivers of these opportunities are the significant costs associated with the lack of payments automation.

Trends in Healthcare Payments Annual
Report: 2010

The 2010 Trends in Healthcare Payments Annual Report demonstrates the business drivers for payers and providers and the changes they are making to operate efficiently and maintain cash flow. This report presents key market trends impacting the healthcare payments industry from an objective view in order to educate the market and promote awareness, change and greater efficiency. This report showcases quantitative data processed on the InstaMed Network and features trends based on qualitative data obtained from healthcare providers, payers and patients nationwide.

Unveiling The Truth Behind Real-Time Adjudication White Paper

Ten years ago, the healthcare industry had successfully completed Y2K and was very close to completing the initial phases of the HIPAA transactional implementation. These were significant milestones for the “administrative” side of healthcare (as opposed to the “clinical” side). Since then, developing real-time adjudication (RTA) for healthcare claims has been one of the top administrative priorities for the industry. From a high-level standpoint, RTA makes sense. However, the healthcare transaction process has nuances both from a technology and business perspective, which present significant challenges to the development and adoption of RTA.

Healthcare Payments White Paper for Payers

The healthcare payments system is beginning to break down due to increased patient responsibility and the lack of Payment Assurance for healthcare providers. In recent years, payers and employers have consistently driven benefits towards higher member/patient responsibility as a way to influence member behavior and to keep medical cost ratios in check. The increased member responsibility trend is only partially a result of consumer-directed healthcare (CDH) plans, which add alternative payment sources to the mix. Although this trend appears to have the desired effect on member behavior, it is forcing providers to absorb additional administrative and financial challenges.

Healthcare Payments White Paper for Providers

The healthcare revenue cycle is complex and has many functional components, each of which requires a high degree of competency to manage. Among these functional components are two types of transactions: administrative transactions and payment transactions. Administrative Transactions primarily include eligibility, claims, claim status and remittance. Payment transactions include cash, check, credit, debit and ACH (a.k.a. EFT) from both payers and patients. This unique mix of payment sources and their dependence on administrative transactions uniquely earn these payment transactions their own category of competence. That category is “Healthcare Payments.”